ATI Fundamentals Proctored Exam
1. A nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I
am at an average risk for colon cancer, I should have a routine screening. What does that
involve?" which of the following responses should the nurse make?
A. "I'Il get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. One option for
screening is a fecal occult blood test annually.
2. A nurse is caring for a client who is having dif culty breathing. The client is laying in bed with
anasal cannula delivering oxygen. Which of the following intervention should the nurse take
rst?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
Assist the client to an upright position
When providing client care, the nurse should rst use the least invasive intervention.
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,Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high
Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange
and prevents pressure on the diaphragm from abdominal organs.
3. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication is mixed.
4. A nurse is planning care to improve self-feeding for a client who has vision loss.
Which of the following interventions should the nurse include in the plan of care?
A. tell the client which food she should eat rst
B. provide small-handle utensils for the client
C. thicken liquids on the client's tray
D. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate. MY ANSWER describing the location of
the food on the plate by using a clock pattern allows the client to have greater independence
during meals.
fi
, 5. A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activity should the
nurse recommend?
A. walking briskly
B. riding a bicycle
C. performing isometric exercises
D. Engaging in high-impactaerobics
Walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent
osteoporosis. Walking engages older adult clients in this preventive and therapeutic strategy.
6. A nurse is assessing a client's readiness to learn about insulin administration. Which of the
following statements should the nurse identify as an indication that the client is ready to
learn?
A. "I can concentrate best in the morning."
B. "it is dif cult to read the instructions because my glasses are at home."
C. "I'm wondering why I need to learn this."
D. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing the best time for
him to learn.
fi
, 7. A nurse is giving discharge instructions to a client who will require oxygen therapy at home.
which of the following statements should the nurse identify as an indication that the client
understands how to manage this therapy at home?
A. "'ll make sure that, when my friend comes by, she smokes at least 6 feet away from my oxygen
tank."
B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen.
C. "C. "I'll check the wires and cables on my TV to make sure they are in good working order."
D. "I'Il lay my oxygen tank down on the oor when the grandchildren visit so they don't knock it
over."
"I'll check the wires and cables on my TV to make sure they are in good workingorder."
Oxygen is a highly ammable gas. The client should make sure any electrical equipment in
the room where she is using supplemental oxygen is functioning properly so it does not create
any electrical sparks.
8. A nurse is caring for a client who is reporting dif culty falling asleep. Which of the following
measures should the nurse recommend?
A. drink a cup of hot cocoa before bedtime
B. exercise 1 hr before going to bed
C. use progressive relaxation techniques at bedtime
D. re ect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducing muscle tension.
9. A nurse is assisting a client who is postoperative with the use of an incentive spirometer.
fl fl fl fi
1. A nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I
am at an average risk for colon cancer, I should have a routine screening. What does that
involve?" which of the following responses should the nurse make?
A. "I'Il get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. One option for
screening is a fecal occult blood test annually.
2. A nurse is caring for a client who is having dif culty breathing. The client is laying in bed with
anasal cannula delivering oxygen. Which of the following intervention should the nurse take
rst?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
Assist the client to an upright position
When providing client care, the nurse should rst use the least invasive intervention.
fi fi fi
,Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high
Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange
and prevents pressure on the diaphragm from abdominal organs.
3. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication is mixed.
4. A nurse is planning care to improve self-feeding for a client who has vision loss.
Which of the following interventions should the nurse include in the plan of care?
A. tell the client which food she should eat rst
B. provide small-handle utensils for the client
C. thicken liquids on the client's tray
D. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate. MY ANSWER describing the location of
the food on the plate by using a clock pattern allows the client to have greater independence
during meals.
fi
, 5. A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activity should the
nurse recommend?
A. walking briskly
B. riding a bicycle
C. performing isometric exercises
D. Engaging in high-impactaerobics
Walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent
osteoporosis. Walking engages older adult clients in this preventive and therapeutic strategy.
6. A nurse is assessing a client's readiness to learn about insulin administration. Which of the
following statements should the nurse identify as an indication that the client is ready to
learn?
A. "I can concentrate best in the morning."
B. "it is dif cult to read the instructions because my glasses are at home."
C. "I'm wondering why I need to learn this."
D. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing the best time for
him to learn.
fi
, 7. A nurse is giving discharge instructions to a client who will require oxygen therapy at home.
which of the following statements should the nurse identify as an indication that the client
understands how to manage this therapy at home?
A. "'ll make sure that, when my friend comes by, she smokes at least 6 feet away from my oxygen
tank."
B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen.
C. "C. "I'll check the wires and cables on my TV to make sure they are in good working order."
D. "I'Il lay my oxygen tank down on the oor when the grandchildren visit so they don't knock it
over."
"I'll check the wires and cables on my TV to make sure they are in good workingorder."
Oxygen is a highly ammable gas. The client should make sure any electrical equipment in
the room where she is using supplemental oxygen is functioning properly so it does not create
any electrical sparks.
8. A nurse is caring for a client who is reporting dif culty falling asleep. Which of the following
measures should the nurse recommend?
A. drink a cup of hot cocoa before bedtime
B. exercise 1 hr before going to bed
C. use progressive relaxation techniques at bedtime
D. re ect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducing muscle tension.
9. A nurse is assisting a client who is postoperative with the use of an incentive spirometer.
fl fl fl fi
